Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.82 / $4,109.00 / $10,632.00	Facility		$386.82	$4,109.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,136.00 / $8,611.67 / $10,898.96	Facility	50	$2,136.00	$8,611.67	$10,898.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,200.83 / $2,168.94	Professional		$285.25	$1,200.83	$2,168.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $608.98 / $913.48 / $7,416.75	Professional	50	$608.98	$913.48	$7,416.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $328.44 / $445.23	Professional		$144.21	$328.44	$445.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $273.76 / $471.75 / $672.96	Professional	50	$273.76	$471.75	$672.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $558.72 / $4,307.64	Facility		$323.00	$558.72	$4,307.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.95 / $1,078.30 / $2,620.89	Professional		$343.95	$1,078.30	$2,620.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,804.00 / $23,031.00	Facility		$6,078.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $909.05 / $1,430.90 / $1,885.43	Professional		$909.05	$1,430.90	$1,885.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.21 / $1,746.03 / $2,803.65	Professional		$1,096.21	$1,746.03	$2,803.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,364.00 / $12,923.00 / $20,609.00	Facility		$4,364.00	$12,923.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.42 / $1,811.45 / $3,361.00	Professional		$1,244.42	$1,811.45	$3,361.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.98 / $1,264.10 / $1,264.10	Professional		$250.98	$1,264.10	$1,264.10